10 results
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... T wave Type B ... elevated troponin level ... #Types #Cardiology ... #Diagnosis
There are two patterns of T-wave abnormality in Wellens’ syndrome:
-Type A = Biphasic, with initial positivity
patterns of T-wave ... abnormality in Wellens ... 75% of cases) #Diagnosis ... #Cardiology #ECG ... #EKG #Wellens #
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome ... Inversion Type ... Team @FOAMfrat #Wellens ... #ecg #cardiology ... electrocardiogram #diagnosis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Wave Inversion ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Benign T-wave Inversion (BTWI) vs. Wellens'
 • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
V2-V4 in Wellens ... over time (vs. ever-evolving ... T-waves in Wellens ... #ECG #diagnosis ... #cardiology #electrocardiogram
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
s the clinical sign ... shown , what’s the diagnosis ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
sign A - Biphasic ... chest pain • Wellens ... sign B - Deeply ... #EKG #diagnosis ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... STE in avR - Wellen's ... #EKG #diagnosis ... electrocardiogram #cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... Hussainch #Cannon #Awaves ... #AVNRT #PhysicalExam ... #JVP #Cardiology
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
non-conducted P wave ... Block infranodal level ... #HeartBlocks #Types ... degrees #summary #Diagnosis ... #ecg #cardiology